Individual ProviderJoan SmithNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2150 Pennsylvania Ave NW, Washington, DC 20037-3201(202) 741-2160(202) 660-5555PECOS EnrollmentBased on the most recent information from CMS, provider Joan Smith is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1477553238Provider TypeIndividualFull NameSmith, JoanGenderFemaleSole ProprietorNoEnumeration Date7/22/2005Last Updated2/16/2023Contact InformationPractice LocationPractice Address2150 Pennsylvania Ave NW, Washington, DC 20037-3201Phone(202) 741-2160Fax(202) 741-2169Mailing LocationMailing Address5215 Loughboro Rd NW Ste 320, Washington, DC 20016-2626Phone(202) 660-5555Fax(202) 660-6103Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP64422District of ColumbiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN64422District of ColumbiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR123268Maryland